City of Forest (Hwy 80 & 21 waterwell) - Registration

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Source Identification

Facility Name:City of Forest (Hwy 80 & 21 waterwell)
Parent Company #1:City of Forest
Parent Company #2:

Submission and Acceptance

Submission Type:First-Time Submission
Description:
Receipt Date:1999-06-07
Postmark Date:1999-06-03
Next Due Date:2004-06-03
Completeness Check Date:1999-06-09
Complete RMP:Yes
De-Registered Date:
De-Registered Effective Date:
Certification Received:Yes

Facility Identification

EPA Facility Identifier:1000 0002 3253
Other EPA Systems Facility ID:

Dun and Bradstreet Numbers (DUNS)

Facility DUNS:
Parent Company #1 DUNS:
Parent Company #2 DUNS:

Facility Location Address

Address: Highway 80 & 21
Forest, MS
39074
County:Scott County

Facility Latitude and Longitude

Lat. (dd mm ss.s):
Long. (ddd mm ss.s):
Latitude (decimal):
Longitude (decimal):
Lat/Long Method:Interpolation - Map
Lat/Long Description:Well

EPA Default Map Value Latitude/Longitude

Latitude (decimal):32.38
Longitude (decimal):-89.462222
Lat/Long Method:
Lat/Long Description:Well

Owner or Operator

Operator Name:City of Forest/ Randall George
Operator Phone:6014692921
Street 1:120 South Davis Street
Street 2:P.O. Box 298
City:Forest
State:MS
ZIP:39074
ZIP4:
Foreign State:
Foreign ZIP:
Foreign Country:United States (US)

Person or Position Responsible for Part 68 (RMP) Implementation

Name:Randall George
Title:Public Works Director

Emergency Contact

Name:Randall George
Title:Public Works Director
Phone:6014692921
24-Hour Phone:6019301020
Extension or Pin:

Other Points of Contact

Facility or Parent Company E-mail:
Facility Public Contact Phone:6014692921
Facility or Parent Company Web Site:

Local Emergency Planning Committee

LEPC:Scott County LEPC

Full Time Equivalent Employees

Number of full time employees (FTE) on site:2
FTE Claimed as CBI:No

Covered By

OSHA PSM:No
EPCRA 302:No
CAA Title V:No
Air Operating Permit ID:

OSHA Ranking

OSHA Star or Merit Ranking:No

Last Safety Inspection

Date Performed:1998-07-29
External Agency:State occupational safety agency

Predictive Filing

Did this RMP involve predictive filing?No

Confidential Business Information (CBI)

CBI Claimed:No
Substantiation Provided:No
Unsanitized RMP Provided:No

Reportable Accidents

Reportable Accidents:No
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